National Provider Identifier

Jake Robert Ritzenthaler, PA-C

Jake Robert Ritzenthaler, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7070.

NPI 1255059309Rochester, NYPhysician Assistant

Profile Overview

NPI
1255059309
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
August 16, 2022
Last Updated
February 23, 2023

Practice Location

  • 1555 Long Pond RD
  • Rochester, NY 14626-4164

Phone: (585) 723-7070

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Physician Assistant (363A00000X)

Endpoints

  • jritzenthaler354748@direct.rochesterregional.org

    Direct Messaging Address | Rochester, NY 14626

Full Record
NPI
1255059309
Entity Type
Individual
Last Name
Ritzenthaler
First Name
Jake
Middle Name
Robert
Credential
PA-C
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1555 Long Pond RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4164
Practice Country
US
Practice Phone
(585) 723-7070
Enumeration Date
August 16, 2022
Last Updated
February 23, 2023
Sex
Male
Sole Proprietor
No
Certification Date
February 23, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)